Individual provider Active NPI

Lyubov Voyevidko, NP

  • Family Nurse Practitioner
  • Utica, MI
National Provider Identifier
1649987512
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704290012 Issued in MI
Practice address
11051 Hall Rd Ste 200
Utica, MI 48317-5742
Phone
(586) 254-5759
Fax
(586) 254-5759
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704290012 MI Primary

Addresses

Primary practice location

11051 Hall Rd Ste 200
Utica, MI 48317-5742

Mailing address

20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Phone (867) 714-8205

Other practice location 1

130 Town Center Dr Ste 101
Troy, MI 48084-1744
Phone (248) 740-0668

Other practice location 2

130 Town Center Dr Ste 200
Troy, MI 48084-1744
Phone (248) 740-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103001112 MI Practitioner - Nurse Practitioner 5890162853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

11051 Hall Rd
Suite 200
Utica, MI 48317-5742
Phone (586) 254-5759

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.01
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704290012MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Current Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Michigan Institute of Urology PC CurrentSince Nov 1, 2022 Accepting new patients
Alliance Physician Services of Michigan, P.C. PastSince Oct 29, 2023 Accepting new patients

Locations

19991 Hall Rd
Ste 201
Macomb, MI 48044
Phone (586) 228-0150

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

130 Town Center Dr
Ste 200
Troy, MI 48084
Phone (248) 740-0670

11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc05115_tricountyurologists

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1649987512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD STE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813203",
            "telephone_number": "867-714-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11051 HALL RD STE 200",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175742",
            "telephone_number": "586-254-5759",
            "fax_number": "586-254-5759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Town Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480841744",
            "country_code": "US",
            "telephone_number": "248-740-0668",
            "fax_number": "248-740-0668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Town Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480841744",
            "country_code": "US",
            "telephone_number": "248-740-0670",
            "fax_number": "248-519-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOYEVIDKO",
        "first_name": "LYUBOV",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704290012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.